2022
DOI: 10.1590/0001-3765202220201026
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A Systematic Review of the geographic distribution of pathogenic Leptospira serovars in the Americas, 1930-2017

Abstract: Leptospirosis is an important public health problem caused by Leptospira.The objective is to characterize the geographic distribution of pathogenic leptospira serovars in the Americas through a systematic review of the literature between 1930-2017. Searches were conducted in six scientifi c databases (PubMed, Web of Science, Embase, Lilacs, Scopus and Cochrane). We included studies conducted unambiguously in the Americas, that investigated infection of Leptospira in humans and animals in their natural environm… Show more

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Cited by 15 publications
(12 citation statements)
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References 33 publications
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“…This finding supports previous observations, e.g. in South America [34,106,107] . CC-BY-NC 4.0 International license available under a (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity.…”
Section: Discussionsupporting
confidence: 93%
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“…This finding supports previous observations, e.g. in South America [34,106,107] . CC-BY-NC 4.0 International license available under a (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity.…”
Section: Discussionsupporting
confidence: 93%
“…This finding supports previous observations, e.g. in South America [34,106,107] 29 Africa [108,109], Malaysia [110], New Zealand [111] and Australia [112], where serogroup Sejroe is predominantly reported in bovines. Serogroups Australis, Grippotyphosa, Icterohaemorrhagiae and Pomona have also been described in cattle worldwide [34,[106][107][108][109]111,113,114].…”
Section: Discussionsupporting
confidence: 92%
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“…serovars, with the prevalence of Tarassovi and Copenhageni. Interestingly, this observation is in disagreement with the recent revision of Browne and collaborators, which reported the serovars Icterohaemorrhagiae, Canicola, and Pomona as the most prevalent in human leptospirosis in the Americas from 1930 to 2017, with Pomona and Canicola being the most prevalent in Brazil [ 54 ]. From our point of view, this controversy reinforces the necessity of improved surveillance of leptospirosis cases, aiming to know what are the most important pathogens to focus on in vaccine development.…”
Section: Discussionmentioning
confidence: 63%
“…However, the study described that leptospirosis was widespread in wildlife in all biomes of Latin America [ 59 ]. In another systematic review carried out by Browne [ 62 ], 86 studies registered over 80 species affected by leptospirosis in the Americas, mostly in the USA and Brazil, and most of the wildlife studied was terrestrial, particularly boars and racoons, with some reports on aquatic animals such as sea lions, manatees and reptiles (boas and crocodiles); the most common serovars reported were Icterohaemorrhagiae, Pomona, Grippotyphosa, and Canicola. More research is needed to determine the role of these animals in the epidemiology of leptospirosis and its impact on public health [ 59 ].…”
Section: Resultsmentioning
confidence: 99%